| NPI | 1609354372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAPHETH OGAMBA MONGARE Podiatrist 860-436-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT 881) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |